EX-25 23 ex25.htm EXHIBIT 25 ex25.htm
Exhibit 25
 
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
FORM T-1
 
STATEMENT OF ELIGIBILITY UNDER
THE TRUST INDENTURE ACT OF 1939 OF A
CORPORATION DESIGNATED TO ACT AS TRUSTEE
Check if an Application to Determine Eligibility of
a Trustee Pursuant to Section 305(b)(2)
 
 
U.S. BANK NATIONAL ASSOCIATION
(Exact name of Trustee as specified in its charter)
 
31-0841368
I.R.S. Employer Identification No.
 
800 Nicollet Mall
Minneapolis, Minnesota
 
55402
(Address of principal executive offices)
(Zip Code)
 
Paul Henderson
U.S. Bank National Association
1349 W. Peachtree St., NW, Suite 1050
Atlanta, GA 30309
(404) 965-7218
(Name, address and telephone number of agent for service)
 
Omega Healthcare Investors, Inc.
And the Subsidiary Guarantors Listed in Schedule A
(Exact name of obligor as specified in its charter)
 
Maryland
(State or other jurisdiction of
incorporation or organization)
38-3041398
(I.R.S. Employer Identification No.)
 
200 International Circle, Suite 3500
Hunt Valley, Maryland
(Address of principal executive offices)
 
21030
(Zip code)
 
 
5.875% Senior Notes due 2024
(Title of the indenture securities)
 
 
 
 
 
Schedule A
Subsidiary Guarantors
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
1200 Ely Street Holdings Co. LLC Michigan 26-3524594
2425 Teller Avenue, LLC Colorado 20-5672217
4225 County Road Holdings Co. LLC Michigan 83-0500167
48 High Point Road, LLC Maryland 27-2498824
Arizona Lessor - Infinia, Inc.
Maryland
32-0008074
Baldwin Health Center, Inc.
Pennsylvania
25-1495708
Bayside Alabama Healthcare Second, Inc.
Alabama
38-3517839
Bayside Arizona Healthcare Associates, Inc.
Arizona
38-3518309
Bayside Arizona Healthcare Second, Inc.
Arizona
38-3520329
Bayside Colorado Healthcare Associates, Inc.
Colorado
38-3517837
Bayside Colorado Healthcare Second, Inc.
Colorado
38-3520325
Bayside Indiana Healthcare Associates, Inc.
Indiana
38-3517842
Bayside Street II, Inc.
Delaware
38-3519969
Bayside Street, Inc.
Maryland
38-3160026
Canton Health Care Land, Inc.
Ohio
20-1914579
Carnegie Gardens LLC
Delaware
20-2442381
Center Healthcare Associates, Inc.
Texas
38-3517844
CFG 2115 Woodstock Place LLC Delaware 26-1123970
Cherry Street – Skilled Nursing, Inc.
Texas
38-3592148
Colonial Gardens, LLC
Ohio
26-0110549
Colorado Lessor - Conifer, Inc.
Maryland
32-0008069
Copley Health Center, Inc.
Ohio
34-1473010
CSE Albany LLC
Delaware
20-5885886
CSE Amarillo LLC
Delaware
20-5862752
CSE Anchorage LLC
Delaware
26-1866499
CSE Arden L.P.
Delaware
20-5888680
CSE Augusta LLC
Delaware
20-5885921
CSE Bedford LLC
Delaware
20-5886082
CSE Blountville LLC
Delaware
20-8295288
CSE Bolivar LLC
Delaware
20-8295024
CSE Cambridge LLC
Delaware
20-5886976
CSE Cambridge Realty LLC
Delaware
20-5959318
CSE Camden LLC
Delaware
20-8295066
CSE Canton LLC
Delaware
20-5887312
CSE Casablanca Holdings II LLC
Delaware
26-0595183
CSE Casablanca Holdings LLC
Delaware
20-8724466
CSE Cedar Rapids LLC
Delaware
20-5884941
CSE Centennial Village
Delaware
20-6974959
CSE Chelmsford LLC
Delaware
20-5920451
CSE Chesterton LLC
Delaware
20-5885195
CSE Claremont LLC
Delaware
20-5883891
CSE Corpus North LLC
Delaware
20-5186415
CSE Crane LLC
Delaware
20-8684704
CSE Denver Iliff LLC
Delaware
20-8037772
CSE Denver LLC
Delaware
20-5884311
CSE Douglas LLC
Delaware
20-5883761
CSE Dumas LLC
Delaware
20-5883692
CSE Elkton LLC
Delaware
20-5887006
CSE Elkton Realty LLC
Delaware
20-5959253
CSE Fairhaven LLC
Delaware
20-8281491
CSE Fort Wayne LLC
Delaware
20-5885125
CSE Frankston LLC
Delaware
20-5862947
 
 
 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
CSE Georgetown LLC
Delaware
20-5886126
CSE Green Bay LLC
Delaware
20-5888029
CSE Hilliard LLC
Delaware
20-5887347
CSE Huntingdon LLC
Delaware
20-8295191
CSE Huntsville LLC
Delaware
20-5887764
CSE Indianapolis-Continental LLC
Delaware
20-5885046
CSE Indianapolis-Greenbriar LLC
Delaware
20-5885096
CSE Jacinto City LLC
Delaware
20-5186519
CSE Jefferson City LLC
Delaware
20-8295101
CSE Jeffersonville-Hillcrest Center LLC
Delaware
20-5885261
CSE Jeffersonville-Jennings House LLC
Delaware
20-5885346
CSE Kerrville LLC
Delaware
20-8684872
CSE King L.P.
Delaware
20-5888725
CSE Kingsport LLC
Delaware
20-5887736
CSE Knightdale L.P.
Delaware
20-5888653
CSE Lake City LLC
Delaware
20-5863259
CSE Lake Worth LLC
Delaware
20-5863173
CSE Lakewood LLC
Delaware
20-5884352
CSE Las Vegas LLC
Delaware
20-5887216
CSE Lawrenceburg LLC
Delaware
20-5887802
CSE Lenoir L.P.
Delaware
20-5888528
CSE Lexington Park LLC
Delaware
20-5886951
CSE Lexington Park Realty LLC
Delaware
20-5959280
CSE Ligonier LLC
Delaware
20-5885484
CSE Live Oak LLC
Delaware
20-5863086
CSE Logansport LLC
Delaware
20-5885583
CSE Lowell LLC
Delaware
20-5885381
CSE Marianna Holdings LLC
Delaware
20-1411422
CSE Memphis LLC
Delaware
20-8295130
CSE Mobile LLC
Delaware
20-5883572
CSE Moore LLC
Delaware
20-5887574
CSE North Carolina Holdings I LLC
Delaware
20-5888397
CSE North Carolina Holdings II LLC
Delaware
20-5888430
CSE Omro LLC
Delaware
20-5887998
CSE Orange Park LLC
Delaware
20-5863371
CSE Orlando-Pinar Terrace Manor LLC
Delaware
20-5863043
CSE Orlando-Terra Vista Rehab LLC
Delaware
20-5863223
CSE Pennsylvania Holdings
Delaware
20-6974946
CSE Piggott LLC
Delaware
20-5883659
CSE Pilot Point LLC
Delaware
20-5862827
CSE Ponca City LLC
Delaware
20-5887495
CSE Port St. Lucie LLC
Delaware
20-5863294
CSE Richmond LLC
Delaware
20-5885427
CSE Ripley LLC
Delaware
20-8295238
CSE Ripon LLC
Delaware
26-0480886
CSE Safford LLC
Delaware
20-5883807
CSE Salina LLC
Delaware
20-5885669
CSE Seminole LLC
Delaware
20-5887615
CSE Shawnee LLC
Delaware
20-5887524
CSE Spring Branch LLC
Delaware
20-5186484
CSE Stillwater LLC
Delaware
20-5887548
 
 
 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
CSE Taylorsville LLC
Delaware
20-5886196
CSE Texarkana LLC
Delaware
20-5862880
CSE Texas City LLC
Delaware
20-5862791
CSE The Village LLC
Delaware
20-5186550
CSE Upland LLC
Delaware
20-5891148
CSE Walnut Cove L.P.
Delaware
20-5888502
CSE West Point LLC
Delaware
20-5887119
CSE Whitehouse LLC
Delaware
20-8294979
CSE Williamsport LLC
Delaware
26-0480953
CSE Winter Haven LLC
Delaware
20-5863327
CSE Woodfin L.P.
Delaware
20-5888619
CSE Yorktown LLC
Delaware
20-5885163
Dallas – Skilled Nursing, Inc.
Texas
38-3592151
Delta Investors I, LLC
Maryland
54-2112455
Delta Investors II, LLC
Maryland
54-2112456
Desert Lane LLC
Delaware
20-3098022
Dixon Health Care Center, Inc.
Ohio
34-1509772
Florida Lessor – Crystal Springs, Inc.
Maryland
75-3116533
Florida Lessor – Emerald, Inc.
Maryland
22-3872569
Florida Lessor – Lakeland, Inc.
Maryland
22-3872564
Florida Lessor – Meadowview, Inc.
Maryland
56-2398721
Florida Real Estate Company, LLC
Florida
20-1458431
Georgia Lessor - Bonterra/Parkview, Inc.
Maryland
16-1650494
Greenbough, LLC
Delaware
27-0258266
Hanover House, Inc.
Ohio
34-1125264
Heritage Texarkana Healthcare Associates, Inc.
Texas
38-3517861
House of Hanover, Ltd
Ohio
34-6691713
Hutton I Land, Inc.
Ohio
20-1914403
Hutton II Land, Inc.
Ohio
20-1914470
Hutton III Land, Inc.
Ohio
20-1914529
Indiana Lessor – Jeffersonville, Inc.
Maryland
22-3872575
Indiana Lessor – Wellington Manor, Inc.
Maryland
32-0008064
Jefferson Clark, Inc.
Maryland
38-3433390
LAD I Real Estate Company, LLC
Delaware
20-1454154
Lake Park – Skilled Nursing, Inc.
Texas
38-3592152
Leatherman 90-1, Inc.
Ohio
20-1914625
Leatherman Partnership 89-1, Inc.
Ohio
34-1656489
Leatherman Partnership 89-2, Inc.
Ohio
34-1656491
Long Term Care – Michigan, Inc.
Michigan
04-3833330
Long Term Care – North Carolina, Inc.
North Carolina
04-3833335
Long Term Care Associates – Illinois, Inc.
Illinois
38-3592159
Long Term Care Associates – Indiana, Inc.
Indiana
38-3592160
Long Term Care Associates – Texas, Inc.
Texas
38-3592142
Meridian Arms Land, Inc.
Ohio
20-1914864
North Las Vegas LLC
Delaware
20-3098036
NRS Ventures, L.L.C.
Delaware
38-4236118
OHI (Connecticut), Inc.
Connecticut
06-1552120
OHI (Florida), Inc.
Florida
65-0523484
OHI (Illinois), Inc.
Illinois
37-1332375
OHI (Indiana), Inc.
Indiana
38-3568359
OHI (Iowa), Inc.
Iowa
38-3377918
 
 
 
 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
OHI (Kansas), Inc.
Kansas
48-1156047
OHI Asset (CA), LLC
Delaware
04-3759925
OHI Asset (CO), LLC
Delaware
84-1706510
OHI Asset (CT) Lender, LLC
Delaware
75-3205111
OHI Asset (FL), LLC
Delaware
13-4225158
OHI Asset (FL) Lender, LLC
Delaware
27-4450390
OHI Asset (ID), LLC
Delaware
04-3759931
OHI Asset (IL), LLC
Delaware
14-1951802
OHI Asset (IN), LLC
Delaware
04-3759933
OHI Asset (IN) Greensburg, LLC
Delaware
38-3879137
OHI Asset (IN) Indianapolis, LLC
Delaware
36-4736441
OHI Asset (IN) Wabash, LLC
Delaware
38-3879151
OHI Asset (IN) Westfield, LLC
Delaware
32-0381277
OHI Asset (LA), LLC
Delaware
04-3759935
OHI Asset (MD), LLC
Delaware
45-2611748
OHI Asset (MI), LLC
Delaware
27-3378345
OHI Asset (MI/NC), LLC
Delaware
04-3759928
OHI Asset (MO), LLC
Delaware
04-3759939
OHI Asset (OH) Lender, LLC
Delaware
51-0529744
OHI Asset (OH) New Philadelphia, LLC
Delaware
51-0529741
OHI Asset (OH), LLC
Delaware
04-3759938
OHI Asset (PA) Trust
Maryland
54-6643405
OHI Asset (PA), LLC
Delaware
90-0137715
OHI Asset (SMS) Lender, Inc.
Maryland
33-1067711
OHI Asset (TX), LLC
Delaware
04-3759927
OHI Asset CSB LLC
Delaware
27-2820083
OHI Asset CSE – E, LLC
Delaware
27-1675861
OHI Asset CSE – U, LLC
Delaware
27-1675768
OHI Asset Essex (OH), LLC
Delaware
83-0379722
OHI Asset HUD CFG, LLC Delaware 45-3662151
OHI Asset HUD SF, LLC
Delaware
80-0830116
OHI Asset HUD WO, LLC
Delaware
45-2379675
OHI Asset II (CA), LLC
Delaware
20-1000879
OHI Asset II (FL), LLC
Delaware
27-1813906
OHI Asset II (PA) Trust
Maryland
84-6390330
OHI Asset III (PA) Trust
Maryland
84-6390331
OHI Asset IV (PA) Silver Lake Trust
Maryland
80-6146794
OHI Asset, LLC
Delaware
32-0079270
OHI of Texas, Inc.
Maryland
38-3506136
OHI Sunshine, Inc.
Florida
82-0558471
OHI Tennessee, Inc.
Maryland
38-3509157
OHIMA, Inc.
Massachusetts
06-1552118
Omega (Kansas), Inc.
Kansas
32-0142534
Omega TRS I, Inc.
Maryland
38-3587540
Orange Village Care Center, Inc.
Ohio
34-1321728
OS Leasing Company
Kentucky
38-3221641
Panama City Nursing Center LLC
Delaware
20-2568041
Parkview – Skilled Nursing, Inc.
Texas
38-3592157
Pavillion North Partners, Inc.
Pennsylvania
20-2597892
Pavillion North, LLP
Pennsylvania
75-3202956
Pavillion Nursing Center North, Inc.
Pennsylvania
25-1222652
Pine Texarkana Healthcare Associates, Inc.
Texas
38-3517864
 
 
 
 
 
Exact name of registrant as
specified in its charter (1)
State or other
jurisdiction of
formation
I.R.S. Employer
Identification No.
Reunion Texarkana Healthcare Associates, Inc.
Texas
38-3517865
San Augustine Healthcare Associates, Inc.
Texas
38-3517866
Skilled Nursing – Gaston, Inc.
Indiana
38-3592171
Skilled Nursing – Herrin, Inc.
Illinois
38-3592162
Skilled Nursing – Hicksville, Inc.
Ohio
38-3592172
Skilled Nursing – Paris, Inc.
Illinois
38-3592165
Skyler Maitland LLC
Delaware
20-3888672
South Athens Healthcare Associates, Inc.
Texas
38-3517880
St. Mary’s Properties, Inc.
Ohio
20-1914905
Sterling Acquisition Corp.
Kentucky
38-3207992
Sterling Acquisition Corp. II
Kentucky
38-3207991
Suwanee, LLC
Delaware
20-5223977
Texas Lessor – Stonegate GP, Inc.
Maryland
32-0008071
Texas Lessor – Stonegate, Limited, Inc.
Maryland
32-0008072
Texas Lessor – Stonegate, LP
Maryland
32-0008073
Texas Lessor – Treemont, Inc.
Maryland
16-1650495
The Suburban Pavilion, Inc.
Ohio
34-1035431
Washington Lessor – Silverdale, Inc.
Maryland
56-2386887
Waxahachie Healthcare Associates, Inc.
Texas
38-3517884
West Athens Healthcare Associates, Inc.
Texas
38-3517886
Wilcare, LLC
Ohio
26-0110550
 
(1) Address, including zip code, and telephone number, including area code, of the principal executive offices of each subsidiary guarantor listed in Schedule A is c/o Omega Healthcare Investors, Inc., 200 International Circle, Suite 3500, Hunt Valley, Maryland, 21030 and the telephone number is (410) 427-1700.
 
 
 
 
 
FORM T-1
             
Item 1.
 GENERAL INFORMATION. Furnish the following information as to the Trustee.
             
   
a)
 Name and address of each examining or supervising authority to which it is subject.
        Comptroller of the Currency
        Washington, D.C.
             
   
b)
 Whether it is authorized to exercise corporate trust powers.
        Yes
             
Item 2.
 AFFILIATIONS WITH OBLIGOR. If the obligor is an affiliate of the Trustee, describe each such affiliation.
      None
             
Items 3-15
   Items 3-15 are not applicable because to the best of the Trustee’s knowledge, the obligor is not in default under any Indenture for which the Trustee acts as Trustee.
             
Item 16.
 LIST OF EXHIBITS: List below all exhibits filed as a part of this statement of eligibility and qualification.
             
   
1.
 A copy of the Articles of Association of the Trustee.*
             
   
2.
 A copy of the certificate of authority of the Trustee to commence business, attached as Exhibit 2.
             
   
3.
 A copy of the certificate of authority of the Trustee to exercise corporate trust powers, attached as Exhibit 3.
             
   
4.
 A copy of the existing bylaws of the Trustee.**
             
   
5.
 A copy of each Indenture referred to in Item 4. Not applicable.
             
   
6.
 The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939, attached as Exhibit 6.
             
   
7.
 Report of Condition of the Trustee as of December 31, 2011 published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7.
             
  * Incorporated by reference to Exhibit 25.1 to Amendment No. 2 to registration statement on S-4, Registration Number 333-128217 filed on November 15, 2005.
             
  ** Incorporated by reference to Exhibit 25.1 to registration statement on S-4, Registration Number 333-166527 filed on May 5, 2010.
 
 
 
 
 
SIGNATURE
 
Pursuant to the requirements of the Trust Indenture Act of 1939, the trustee, U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility and qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Atlanta, State of Georgia, on the 9th day of August, 2012.
 
  By: /s/ Paul Henderson   
    Paul Henderson
    Assistant Vice President
 
 
 
 
 
Exhibit 2
 
       (logo)
 
 
Comptroller of the Currency
 
Administrator of National Banks
   
 
Washington, DC 20219
   
 
CERTIFICATE OF CORPORATE EXISTENCE
   
 
I, John Walsh, Acting Comptroller of the Currency, do hereby certify that:
   
 
1. The Comptroller of the Currency, pursuant to Revised Statutes 324, et seq., as amended, 12 U.S.C. 1, et seq., as amended, has possession, custody and control of all records pertaining to the chartering, regulation and supervision of all National Banking Associations.
   
 
2. “U.S. Bank National Association,” Cincinnati, Ohio, (Charter No. 24), is a National Banking Association formed under the laws of the United States and is authorized thereunder to transact the business of banking on the date of this Certificate.
 
(logo)  
IN TESTIMONY WHERE OF, I have
 
hereunto subscribed my name and caused
 
my seal of office to be affixed to these
 
presents at the Treasury Department, in the
 
City of Washington and District of
 
Columbia, this September 9, 2010.
   
  /s/ John Walsh  
 
 
Acting Comptroller of the Currency
 
 
 
 
 
 
Exhibit 3
       (logo)
 
 
Comptroller of the Currency
 
Administrator of National Banks
   
 
Washington, DC 20219
   
 
CERTIFICATE OF FIDUCIARY POWERS
   
 
I, John Walsh, Acting Comptroller of the Currency, do hereby certify that:
   
 
1. The Comptroller of the Currency, pursuant to Revised Statutes 324, et seq., as amended, 12 U.S.C. 1, et seq., as amended, has possession, custody and control of all records pertaining to the chartering, regulation and supervision of all National Banking Associations.
   
 
2. “U.S. Bank National Association,” Cincinnati, Ohio, (Charter No. 24), was granted, under the hand and seal of the Comptroller, the right to act in all fiduciary capacities authorized under the provisions of the Act of Congress approved September 28, 1962, 76 Stat.668, 12 U.S.C. 92 a, and that the authority so granted remains in full force and effect on the date of this Certificate.
 
 (logo)  
IN TESTIMONY WHERE OF, I have
 
hereunto subscribed my name and caused
 
my seal of office to be affixed to these
 
presents at the Treasury Department, in the
 
City of Washington and District of
 
Columbia, this September 9, 2010.
   
  /s/ John Walsh  
 
 
Acting Comptroller of the Currency
 
 
 
 
 
 
Exhibit 6
 
CONSENT
 
In accordance with Section 321(b) of the Trust Indenture Act of 1939, the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of examination of the undersigned by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.
 
Dated:  August 9, 2012
 
  By: /S/ Paul Henderson  
    Paul Henderson  
    Assistant Vice President  
 
 
 
 
 
Exhibit 7
 
U.S. Bank National Association
Statement of Financial Condition
As of 12/31/2011
 
($000’s)
 
       
   
12/31/2011
  
Assets
      
Cash and Balances Due From Depository Institutions
   $ 13,960,499  
Securities
     69,485,200  
Federal Funds
     11,887  
Loans & Lease Financing Receivables
     204,182,862  
Fixed Assets
     5,472,961  
Intangible Assets
     12,446,662  
Other Assets
     24,910,739  
Total Assets
   $ 330,470,810  
         
Liabilities
        
Deposits
   $ 236,091,541  
Fed Funds
     7,936,151  
Treasury Demand Notes
     0  
Trading Liabilities
     377,634  
Other Borrowed Money
     34,507,710  
Acceptances
     0  
Subordinated Notes and Debentures
     5,945,617  
Other Liabilities
     10,944,902  
Total Liabilities
   $ 295,803,555  
         
Equity
        
Minority Interest in Subsidiaries
   $ 1,926,211  
Common and Preferred Stock
     18,200  
Surplus
     14,133,323  
Undivided Profits
     18,589,521  
Total Equity Capital
   $ 34,667,255  
         
Total Liabilities and Equity Capital
   $ 330,470,810